NPIMap

Organization Active NPI

Fraser, LTD

  • Intellectual Disabilities Intermediate Care Facility
  • West Fargo, ND
National Provider Identifier
1730353574
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
FRASER, LTD
Practice address
631 22ND St E
West Fargo, ND 58078-2334
Phone
(701) 232-3301
Fax
(701) 237-5775
NPI assigned
Apr 14, 2008
Last updated
Oct 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul Bartz
Title
Director of Business Operations
Phone
(701) 232-3301

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

631 22ND St E
West Fargo, ND 58078-2334

Mailing address

2902 University Dr S
Fargo, ND 58103-6053
Phone (701) 232-3301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730353574. Details of each certification follow.

  • CCN 35G012 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 35G012

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Fraser-631
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jun 1, 1984
Last certification
Aug 13, 2025
Beds
7
Ownership / control type
Private (non-profit)
Facility address
631 22nd St E
West Fargo, ND 58078

National Provider Directory

National Provider Directory
Tax ID family
Fraser LTD13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1730353574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036053",
            "telephone_number": "701-232-3301",
            "fax_number": "701-237-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 22ND ST E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580782334",
            "telephone_number": "701-232-3301",
            "fax_number": "701-237-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRASER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "BARTZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "701-232-3301"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

Verify at the official NPI Registry.